Staff Dentist, Part-Time, Nevada License

Liberty Dental Plan

Staff Dentist reviewing dental claims and prior authorizations, contributing to Utilization Management at Liberty Dental Plan. Fully remote, requiring a Nevada dental license and extensive experience.

Posted 7/22/2026part-timeRemote • Nevada • 🇺🇸 United StatesLead💰 $74 - $82 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in dental claims review, clinical evaluation, and adherence to regulatory standards, with a strong focus on documentation accuracy and quality improvement. Maintains current knowledge of dental procedures, coding standards, and Medicaid programs to support informed clinical decision-making.

Highest-signal resume keywords

DDS Or DMD DegreeNevada Dental LicenseSix Years Of Dental ExperienceKnowledge Of Dental ProceduresExcellent Communication Skills

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Dental Claims ReviewClinical EvaluationRadiograph InterpretationTreatment Plan ReviewDocumentation AccuracyQuality ImprovementMedical Necessity CriteriaADA CDT CodingRegulatory ComplianceCredentialing Requirements

Soft Skills

Written CommunicationVerbal CommunicationCollaborationTime Management

Industry Keywords

Liberty Dental PlanMedicaid ProgramsClinical GuidelinesAccreditation RequirementsInter-Rater ReliabilityGrievance And Appeal Processes

About the role

Key responsibilities & impact

Review dental claims, referrals, and prior authorization requests across multiple lines of business.
Apply clinical expertise to evaluate treatment plans, radiographs, chart notes, and supporting documentation.
Make coverage determinations based on benefit plans, clinical guidelines, medical necessity criteria, and applicable policies.
Meet established productivity, quality, and turnaround-time standards.
Document clinical rationale clearly and accurately in accordance with regulatory and accreditation requirements.
Participate in calibration sessions to promote consistency and accuracy in clinical decision-making.
Complete inter-rater reliability assessments and support ongoing quality improvement efforts.
Collaborate with leadership and peers to address complex clinical scenarios and interpretation questions.
Incorporate audit findings and feedback to continuously enhance determination accuracy and documentation quality.
Conduct peer-to-peer consultations with treating providers regarding clinical determinations and treatment alternatives.
Participate in grievance, appeal, and secondary review activities.
Consult with dental specialists and subject matter experts as needed to support informed clinical decision-making.
Maintain expertise in Liberty Dental Plan benefit structures and applicable Medicaid programs.
Support regulatory reporting and accreditation-related activities.
Stay current with ADA CDT coding updates, evidence-based treatment guidelines, and state-specific requirements.
Participate in required training programs, departmental meetings, and organizational initiatives.

Requirements

What you’ll need

DDS or DMD degree from an accredited dental school.
Current, active, and unrestricted Nevada dental license in good standing.
Minimum of six (6) years of experience as a practicing dentist.
Ability to successfully complete Liberty Dental Plan credentialing and recredentialing requirements.
Strong knowledge of dental procedures, clinical guidelines, coding standards, and medical necessity criteria.
Ability to review and interpret dental radiographs, treatment plans, and chart documentation.
Excellent written and verbal communication skills.
Ability to manage review volumes efficiently while maintaining quality and compliance standards.

Benefits

Comp & perks

Competitive pay structure and savings options to help you reach your financial goals.
Excellent 401(k) retirement benefits , including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines.
Employee Assistance Program (EAP) to support mental health and well-being.
Generous vacation and sick leave policies, with the ability to roll over unused time.
Paid company holidays.
Remote or hybrid work options available for various positions.